A Road Map for TEE

Ever Wondered where to start learning TEE? Well here is a roadmap to help understand the images. Look back soon for more learning! Download the pdf below:

Atrial fibrillation in the ICU: Tough AF to Treat, Sick AF to care for…

Peer Reviewed by Dr. Sagar Dave, DO Every once in a while, it’s a good thing to get down to the nitty gritty of things. I think this is most helpful in common situations. Atrial fibrillation is one of those things to have quickly accessible in your internal brain. In this episode I want to […]

HYPONATREMIA 2.0

HYPONATREMIA PART I – TREATMENT RECOMMENDATIONS IN CASE OF HEMODYNAMIC INSTABILITY, THE NEED FOR RAPID FLUID RESUSCITATION OVERRIDES THE RISK OF AN OVERLY RAPID INCREASE IN SERUM SODIUM CONCENTRATION. TREATMENT GOALS: An increase by 4-6-mmol/L [Na] is sufficient to reverse most serious manifestations of acute hyponatremia. Increase [Na] no more than 10 mEq/L in 24 hour […]

Stroke 2018 Update

In March New Stroke guidelines came out. Wow are they aggressive! tPA and endovascular therapy (EVT) for all… forget what the literature says! Well We NEED to know these so I’ve listed them here for reference. Sorry about the format. I’ll pretty it up soon! Stroke. 2018;49:e46–e99. DOI: 10.1161/STR.0000000000000158.) A primary goal of achieving door-to-needle (DTN) […]

ATLS 10th Edition 2018 Update

Since summer is closing and “Fall” is upon us I thought it would be a good time to “drop” some Trauma knowledge especially since “Crash (2)” is in the ATLS update. Here are the major changes in the 10th Edition of ATLS. Luckily ATLS is getting closer to the evidence and what many of us […]

Hyper K, The EBM Way: Protect, Push, and Purge

As we all know hyperkalemia is a life threatening condition. But how can something so basic be shrouded in such confusion? So many choices and everyone has their own recipe to fix it. Along with all the treatment choices, come pitfalls and side effects. Thus, we need to know what is the best way to […]

TRAUMA IN PREGNANCY UPDATE 2018

Today’s algorithm is all about Trauma in pregnancy. Its a quick breakdown of the need-to-know basics! PRIMARY SURVEY 1. Oxygen supplementation should be given to maintain maternal oxygen saturation > 95% to ensure adequate fetal oxygenation 2. If needed, a thoracostomy tube should be inserted in an injured pregnant woman 1 or […]

C. Diff-(iccile): Should the treatment B. Diff-(erent)? A 2018 Update

Table 1. Adult Treatment Strategies 1: Severity Severity Definition Treatment First time, non-severe WBC ≤15000 cells/mL and Cr <1.5 mg/dL • vancomycin PO 125 mg QID x 10 days, OR • fidoxamycin 200 mg BID x 10 days • Alternate: flagyl, 500 mg PO TIDx10 d First time, severe WBC ≥15000 cells/mL or Cr >1.5 […]

The ABC’s of ABG’s or How to read a blood gas without the Hassel(bach)

A blood gas interpretation is often a fear inducing “pimp” question. Probably because there is a so much packed into them and at some point, some basic math is needed. So, let’s try to unpack it a little so we have more method and less madness. I’m going to divide this up into 4 parts: […]

A “Simplified” DKA algorithm and its rationalization

THE NO-RUSH APPROACH Diabetic Ketoacidosis is a life-threatening condition with the possibility of cerebral edema that occurs in type 1 Diabetes Mellitus (T1DM) and occasionally in type 2 DM (T2DM). For many it is a difficult process to manage with many moving targets, time frames, and life-threatening consequences if mistakes are made. No wonder […]